頁籤選單縮合
題名 | 精神專科醫院安眠藥品使用評估=Drug Utilization Evaluation of Hypnotics in a Psychiatric Hospital |
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作者 | 鄭淑文; 陳質采; | 書刊名 | 藥學雜誌 |
卷期 | 29:3=116 2013.09[民102.09] |
頁次 | 頁133-137 |
分類號 | 418.2131 |
關鍵詞 | 精神專科醫院; 安眠藥品; 藥品使用評估; Psychiatric hospital; Hypnotic; Drug utilization evaluation; |
語文 | 中文(Chinese) |
中文摘要 | 目的:國內安眠藥品近年來使用量暴增,依據健保局統計,台灣人平均一年處方13億顆安眠藥品,健保支出超過十億元,且每年以15%的驚人速度成長。本研究主要目的乃藉由藥品使用評估,追蹤院內安眠藥品使用情形,以提供日後更合理、更有效益的用藥參考,落實臨床藥學服務,確保病人用藥安全。 方法:以北部某一精神專科醫院為例,採回溯性病歷審查,以描述性統計及chi-square 統計方式檢定P值,分析病人2010年7月至12月期間使用安眠藥品之合理性。 結果:本研究分析共計100人,男性佔53%,女性佔47%;年齡平均為48.0 ± 15.5歲,以41-50歲為主 (佔27%)。不論在用藥合理性、用藥頻次方面,其合理率近九成,然用藥前對門診病人有施以保健衛教則只佔38%,有告知病人安眠藥的潛在危險及效益性亦只有31%。 結論:安眠類藥品重複領藥及過度使用會產生成癮性,引發用藥不當及藥品濫用問題,醫師、藥師及護理人員應對病人給予藥品及認知行為教育,方能確保用藥安全,及提供失眠患者更有效、更安全的醫療照顧。 |
英文摘要 | Objective: In recent year, the usage of hypnotic drug has been increasing enormously. Based on the statistic of BNHI office, there is worth of 1.3 billion prescriptions of hypnotic drug in one year. In addition the reimbursement expenditure pays up more than 1 billion dollars with increasing expense rate of 15% every year. The purpose of this study was to observe the prescriptions of hypnotic drug in a psychiatric hospital and assess the drug usage, so there would be a more reasonable and better prescription guideline for patients in the future and clinical pharmaceutical service to ensure the safety of patient drug usage. Method: Giving a Psychiatric Hospital in northern Taiwan for example, the review of retrospective medical record was adopted. The study analyzed the rationality of hypnotic drug usage for patient in the period of July to December 2010 based on descriptive statistic and chi-square statistic of medical records to determine P value. Result: Among 100 subjects recruited in the study, 53% were female and 47% were male. The mean age of the subjects was 48.0 ± 15.5 years old, and 27% of the subjects were between the ages of 41 to 50. The rate of reasonable drug usage and frequency was nearly 90%. However, outpatients who received education before usage was only 38% while patients who received warning of potential risk and benefit of hypnotic was only 31%. Conclusion: Repetitive receipt and overuse of hypnotics could cause addiction and trigger inappropriate drug usage and drug abuse. Therefore doctors, pharmacists and nursing staff should educate patients about drug usage and cognitive behavior in order to ensure drug safety, and to have a better and safer medical care for insomnia. |
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